Organization
GOFORTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP DARIN GOFORTH DC (SOLE DOCTOR/OWNER)
(575) 835-9288
Entity
Organization
Contact information
Practice address
826 HIGHWAY 60, SOCORRO, NM 87801-3919
(575) 835-9288
(575) 835-2209
Mailing address
826 HIGHWAY 60, SOCORRO, NM 87801-3919
(575) 835-9288
(575) 835-2209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1388
NM
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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